Goben, Christina Marie
Goben, Christina Marie is an individual health care provider with primary practice located at 701 Grove Road 6Th Floor , Greenville SC 29605-4255. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Goben, Christina Marie can be contacted via phone (864) 455-7146.Contact Information
Primary practice address
701 Grove Road 6Th Floor
Greenville SC 29605-4255
Phone: (864) 455-7146
Fax: (864) 455-5380
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29185 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 29185 | South Carolina |
Profile Details
NPI number | 1710997796 |
---|---|
LBN Legal business name | Goben, Christina Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | May 26th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710997796 | NPPES |
South Carolina | MEDICAID | 291856 | |
South Carolina | MEDICAID | APPROVED |
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